North Dakota
LLC
Website link to register:
https://sos.nd.gov/business
Naming conventions
Name cannot suggest it is a government agency. Must include “Limited Liability Company,” “LLC,” or “L.L.C.” Medical practices must use “PLLC.”
Licensing Requirements
Licenses must be validated by the North Dakota Board of Medicine. Malpractice insurance required. Comply with North Dakota Department of Health guidelines for medical practices.
Required documentation for medical practices
Articles of Organization, Ohio Facility Compliance, Professional Licenses, Malpractice Insurance
Filing Fee: $135
Annual/Biennial Fee: $50
Additional Notes: Annual report due by November 15.
Medicaid
Program Name: North Dakota Medicaid
Official Website: http://nd.gov/dhs/services/medicalserv/medicaid
Legislation: North Dakota does not have specific DPC legislation; practices operate under general healthcare and insurance laws.
Private Contracting
Permitted; DPC practices should ensure compliance with state insurance regulations to avoid being classified as insurers.
Restrictions
No explicit restrictions for DPC providers; compliance with federal and state regulations is necessary.
Medicaid Program
North Dakota Medicaid provides health coverage to eligible low-income residents, including children.
Notification Requirements
Notification strongly recommended for Medicaid patient clarity.
Provider Enrollment Requirements
Providers must enroll with North Dakota Medicaid to serve beneficiaries directly or offer reimbursable services.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face challenges with Medicaid recognition for orders and referrals.
Designated PCP Restrictions
DPC physicians cannot act as Medicaid-designated PCPs.
Billing and Reimbursement
DPC practices typically do not bill Medicaid for services covered under private agreements.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless explicitly outlined.
CMS Guidance
CMS encourages streamlined enrollment for non-billing providers.
Opportunities for Collaboration
Opportunities may exist to collaborate with Medicaid Managed Care Organizations (MCOs) or state programs aimed at improving access to care.
State-Specific Notes
Collaboration opportunities exist with North Dakota Medicaid for expanding access to primary care.
Dispensing Medication
Board of Pharmacy Official Link: https://www.nodakpharmacy.com/
State Licensing
Physicians must register with the North Dakota Board of Pharmacy to dispense controlled substances.
Scope of Practice
Dispensing is allowed within a physician’s scope of practice for non-controlled and controlled substances.
Inventory Management
Maintain secure storage and accurate inventory tracking for all dispensed medications.
Record-Keeping
Records must comply with North Dakota and federal laws, including HIPAA regulations.
Dispensing Standards
Labels must meet North Dakota Board of Pharmacy standards, including patient and prescriber details.
Controlled Substances
DEA registration and mandatory reporting to North Dakota’s PMP are required for controlled substances.
Billing and Reimbursement
Physicians must adhere to North Dakota-specific billing regulations and federal Stark Law.
Federal Compliance
Compliance with FDA, DEA, and OSHA standards is mandatory.
State Pharmacy Laws
Physicians must comply with North Dakota Board of Pharmacy regulations for controlled substances dispensing.
Patient Consent
Informed patient consent must be obtained prior to dispensing medications.
Insurance and Liability
Liability insurance must cover risks related to dispensing activities.
Training Requirements
Continuing education for dispensing controlled substances is recommended in North Dakota.
Audits and Inspections
Inspections are conducted by the North Dakota Board of Pharmacy, with penalties for violations of compliance.